Vipul&#39;s lifetime lifeline permanent pacemaker and implantable cardioverter-defibrillator

ABSTRACT

A Permanent Pacemaker and Implantable Cardioverter-Defibrillator with a rechargeable battery with recharging facility  
     This PPM/ICD has systems which can be programmed or serviced from a distant center.

CROSS REFERENCE TO RELATED APPLICATIONS

[0001] Herein reference to earlier related application on the samesubject (Application No. 60/406,987 dated Aug. 30, 2002)

FEDERALLY SPONSORED RESEARCH OR DEVELOPMENT

[0002] Not applicable

REFERENCE TO SEQUENCE LISTING, A TABLE, OR A COMPUTER PROGRAM LISTINGCOMPACT DISK APPENDIX

[0003] Not applicable

BACKGROUND TO INVENTION

[0004] At current level of technology with Permanent Pacemaker(PPM) andImplantable Cardioverter-Defibrillator (ICD) there are two majorproblems.

[0005] (A) The battery of pacemaker/ICD decides their life and changehas multiple problems

[0006] It requires an invasive(surgical) procedure and complicationsassociated with an invasive procedure.

[0007] Should infection develops it becomes a major problem aslead/leads/pocket etc will have to be sacrificed.

[0008] (B) The follow-up of the patient is a problem due to lack ofprogrammer and skilled manpower in remote areas.

BRIEF SUMMARY OF INVENTION

[0009] This pacemaker/ICD will have rechargeable battery and eitherbuilt-in generator or external source will supply the energy forrecharge. Thus the same pacemaker box will continue to work andreplacement will not required (thus replacement related problems,complications and cost will be avoided).

[0010] With every implant the patient to receive a dedicated programmingsoftware and some hardware input for remote programming. Thus it willreduce cost of follow-up and will be more useful for the patient. Inremote areas they will not be required to travel large distance. Suchcentral remote programming center can offer 24 hour service thusemergency programming will also be easy.

BRIEF DESCRIPTION OF SEVERAL VIEWS OF DRAWING

[0011]FIG. 1

[0012] It shows a PPM/ICD box with built-in generator inside. The magnetis blue and it is surrounded by coil(brown).

[0013]FIG. 2

[0014] It shows the radiological distinct pole (to be localized on skinusing fluoroscopy so that an insulated sterile needle can connect it toan outside power source)

[0015] Gel like and PVC like material to ensure electrical insulation

[0016] Note radiological distinct pole, can of PPM/ICD, gel likematerial and PVC like material will be in direct contact. The gap infigure is shown for clarity.

DETAILED DESCRIPTION OF THE INVENTION

[0017] The PPM/ICD will have a rechargeable battery. It will need energyfor recharge. This energy will be supplied by

[0018] (A) An internal generator in following way

[0019] If in the box of PPM/ICD there is a small magnet (which canrotate). A coil encircles this magnet. When battery is nearing thedischarge limit, patient sits inside a large radius, circular coil (italso has a fluoroscopy facility to help in proper alignment with thePPM/ICD box), which can move in multiple planes; in a way that magnet inpacemaker/ICD aligns at center and perpendicular (fluoroscopy guidance).The PPM/ICD box will have radiological markers to help in alignmentusing the fluoroscopy facility of the large radius circular coil. Whencurrent passes through the large radius coil, the magnet starts rotatingand generates current to recharge the battery of pacemaker/ICD. It willalso require one or more of the following changes.

[0020] Disable magnet circuit or magnet shield for rest of circuit orrectangle becomes magnet on demand i.e. electrical magnet.

[0021] The arrangement of magnet and coil can also be other way roundi.e. magnet outside and coil inside.

[0022] (B) Alternatively at the body of pacemaker two radiologicaldistinct poles covered by a gel like insulation (Note gel likeinsulation is further reinforced by PVC like material) for recharging byan insulated, sterile outside source under full aseptic technique.

[0023] When the recharge is needed the skin over the box is used withfull aseptic technique. On skin local anesthesia is administered. Usingthe fluoroscopy the exact location of two radiological distinct polesare identified.

[0024] A thick needle is used to create a small hole here.

[0025] A fine needle is inserted which goes through the insulation up tothe pole for recharging. Above step is confirmed by the fluoroscopy thatthe needle has reached the exact spot.

[0026] An insulation is gently pushed on the needle. This insulation hasthick terminal end and it compresses the PVC and gel like insulation onthe pole on the PPM/ICD box.

[0027] Now an insulated connection is established to supply energy froman outside source.

[0028] Note the PVC like insulation will not cover the entire surface ofthe can of PPM/ICD so that it can be used as an anode or cathode.

[0029] This system will be useful if the built-in generatormalfunctions.

[0030] Remote Programming

[0031] The follow-up of the patient is a problem due to lack ofprogrammer and skilled manpower in remote areas.

[0032] Note that a personal computer with multimedia and Internetfacility is available in almost all parts of the world.

[0033] With every implant the patient to receive

[0034] One dedicated programming software written on a non rewritablecompact disk. His software will be able to work with the computermouse/touch screen.

[0035] One dedicated telemetry wand which can be attached to widely usedIBM/Apple compatible or other computers.

[0036] The patient can go to any clinic where adoctor/skilled/semiskilled paramedic is available. He can get connectedto the central programming center by an Internet/network connection. Thesoftware is on a non rewritable CD so it can not be changed orcorrupted. With telemetry wand and software on CD will establish thisconnection using locally available personal computer for examination andreprogramming. It will make follow-up of patient easy(widely availabletechnology independent of an onsite programmer and trained PPM/ICDengineer), reduce cost( no travel to distances), easy for the patient asno need for distance travel and a center available 24 hours inemergency.

What I claim as my invention is:
 1. Vipul's Lifetime Lifeline PermanentPacemaker (PPM) and Implantable Cardioverter-Defibrillator (ICD) havingrechargeable battery with Built in generator Radiological distinct poleto connect with an outside energy source Kit for remote programming Alarge radius circular coil with fluoroscopy facility to align with thePPM/ICD box and supply energy to the built in generator.
 2. Vipul'sLifetime Lifeline Permanent Pacemaker and ImplantableCardioverter-Defibrillator as claimed in claim 1 wherein the generatorhas an electrical/nonelectrical/any other type of magnet.
 3. Vipul'sLifetime Lifeline Permanent Pacemaker and ImplantableCardioverter-Defibrillator as claimed in claim 1 wherein the magnet canbe cylindrical/rectangular/squarish/any other shape.
 4. Vipul's LifetimeLifeline Permanent Pacemaker and Implantable Cardioverter-Defibrillatoras claimed in claim 1 wherein magnet is surrounded by a coil ofcylindrical/rectangular/squarish/any other shape.
 5. Vipul's LifetimeLifeline Permanent Pacemaker and Implantable Cardioverter-Defibrillatoras claimed in claim 1 wherein magnet is surrounding the coil.
 6. Vipul'sLifetime Lifeline Permanent Pacemaker and ImplantableCardioverter-Defibrillator as claimed in claim 1 wherein the PPM/ICD boxhas radiological markers that can be used to align the box to an outsidestructure such as the large circle coil to supply energy to a built-ingenerator.
 7. Vipul's Lifetime Lifeline Permanent Pacemaker andImplantable Cardioverter-Defibrillator as claimed in claim 6 wherein thelarge circle coil to supply energy can becircular/rectangular/squarish/any other shape.
 8. Vipul's LifetimeLifeline Permanent Pacemaker and Implantable Cardioverter-Defibrillatoras claimed in claim 6 wherein this large circle coil has a fluoroscopyfacility to align to the PPM/ICD box.
 9. Vipul's Lifetime LifelinePermanent Pacemaker and Implantable Cardioverter-Defibrillator asclaimed in claim 6 wherein the large circle coil can move in multipleplanes.
 10. Vipul's Lifetime Lifeline Permanent Pacemaker andImplantable Cardioverter-Defibrillator as claimed in claim 1 wherein thePPM/ICD box has two or more radiological distinct poles to connect withan outside energy source.
 11. Vipul's Lifetime Lifeline PermanentPacemaker and Implantable Cardioverter-Defibrillator as claimed in claim10 wherein these poles are covered with gel like insulating material andfurther thick PVC like insulation/any other type of insulation. 12.Vipul's Lifetime Lifeline Permanent Pacemaker and ImplantableCardioverter-Defibrillator as claimed in claim 1 wherein box will becompatible with a telemetery wand able to connect to the widely usedcomputer systems
 13. Vipul's Lifetime Lifeline Permanent Pacemaker andImplantable Cardioverter-Defibrillator as claimed in claim 12 wherein itwill be compatible with a programming software onnonrewritable/rewritable compact disk/any other type of storing device.14. Vipul's Lifetime Lifeline Permanent Pacemaker and ImplantableCardioverter-Defibrillator as claimed in claim 12 wherein it will becompatible with an internet/network connection facility.
 15. Vipul'sLifetime Lifeline Permanent Pacemaker and ImplantableCardioverter-Defibrillator as claimed in claim 12 wherein it will becompatible with a remote programming facility.
 16. Vipul's LifetimeLifeline Permanent Pacemaker and Implantable Cardioverter-Defibrillatorsubstantially as described herein and illustrated in accompanyingdrawings.